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Bradley Vergien, DDS

NPI 1790841765ActiveIndividual· Dentist· Gallup, NM

Dentist (DDS) in Gallup, New Mexico, licensed in NM, AZ, UT and AK, with an NPI issued in December 2006. Part D covered 11 prescriptions written in 2024.

Overview

NPI1790841765
StatusActive
Entity typeIndividual
CredentialDDS
Sole proprietorYes
NPI issuedDec 27, 2006
Last updated in NPPESMay 20, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000XDD1926NM
Dentist122300000XD3565AZ
Dentist122300000X145124-9921UT
Dentist122300000X759AK

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)11 · 11 30-day fills
Total drug cost$84.83

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist providers in Gallup

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